Lab & pathology prices at Tyler County Hospital
Woodville, TX · every code in this section with a posted price and a Medicare benchmark.
472 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $97 | $129 | 4.3× |
| 5 Nucleotidase (83915) | $54 | $72 | 4.8× |
| Acth (82024) | $204 | $272 | 5.3× |
| Acute hepatitis panel (80074) | $182 | $242 | 3.8× |
| Acylcarnitines Quant (82017) | $178 | $237 | 10.6× |
| Adenovirus antibody (86603) | $122 | $162 | 9.5× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $2 | $2 | 0.0× |
| Agglutinins Febrile Each Antigen (86000) | $27 | $36 | 3.9× |
| Albumin serum (82040) | $27 | $36 | 5.5× |
| Aldolase (82085) | $38 | $50 | 3.9× |
| Aldosterone urine (82088) | $257 | $343 | 6.3× |
| Allergen specific ige (86003) range across 56 matching MRF lines |
$18–$252 | $24–$336 | varies |
| Allergen specific igg (86001) | $51 | $68 | 6.5× |
| Alpha-1-antitrypsin total (82103) | $51 | $68 | 3.8× |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$64–$94 | $85–$125 | varies |
| Alt (sgpt) (84460) | $41 | $55 | 7.7× |
| Aluminum (82108) | $10 | $13 | 0.4× |
| Amikacin trough (80150) | $92 | $122 | 6.1× |
| Ammonia (82140) | $61 | $81 | 4.2× |
| Amylase urine (82150) range across 4 matching MRF lines |
$3–$54 | $4–$72 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$112–$193 | $149–$257 | varies |
| Angiotensin converting enzyme csf (82164) | $84 | $112 | 5.8× |
| Antibody aspergillus (86606) | $32 | $43 | 2.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $62 | $83 | 3.7× |
| Antibody Encephalitis California La Crosse (86651) | $122 | $162 | 9.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $89 | $119 | 5.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $71 | $95 | 3.9× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$115–$131 | $153–$174 | varies |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$91–$270 | $121–$360 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$55–$146 | $73–$194 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$50–$107 | $67–$142 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $52 | $69 | 3.8× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $159 | $212 | 8.2× |
| Antibody identification leukocyte antibodies (86021) range across 10 matching MRF lines |
$12–$515 | $16–$687 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $194 | $259 | 15.6× |
| Antibody Lymphocytic Choriomeningitis (86727) | $122 | $162 | 9.5× |
| Antibody Protozoa Nes (86753) | $11 | $15 | 0.9× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$14–$63 | $19–$84 | varies |
| Antibody; encephalitis, st. louis (86653) | $35 | $47 | 2.7× |
| Antibody; influenza virus (86710) range across 4 matching MRF lines |
$19–$122 | $25–$162 | varies |
| Antigen typing (86905) range across 8 matching MRF lines |
$5–$250 | $7–$333 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $110 | $147 | 19.2× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$46–$100 | $61–$133 | varies |
| Antistreptolysin o titer (86060) range across 3 matching MRF lines |
$28–$43 | $37–$57 | varies |
| Antithrombin iii activity (85300) | $55 | $73 | 4.6× |
| Apolipoprotein a1 (82172) | $23 | $31 | 1.1× |
| Arsenic (82175) range across 4 matching MRF lines |
$42–$331 | $56–$441 | varies |
| Assay Blood Carbon Dioxide (82374) | $26 | $34 | 5.3× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$4–$290 | $5–$386 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$17–$86 | $23–$114 | varies |
| Assay of blood/uric acid (84550) | $32 | $42 | 7.1× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$33–$291 | $44–$388 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$75–$164 | $100–$219 | varies |
| Assay of g6pd enzyme (82955) | $84 | $112 | 8.7× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$44–$73 | $58–$97 | varies |
| Assay of lactic acid (83605) | $51 | $68 | 4.4× |
| Assay of manganese (83785) | $60 | $80 | 2.3× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$13–$188 | $17–$251 | varies |
| Assay of phosphatase acid total (84060) | $57 | $76 | 7.5× |
| Assay of phosphatase alkaline heat stable (84078) | $28 | $37 | 3.4× |
| Assay of serotonin (84260) | $25 | $33 | 0.8× |
| Assay of serum potassium (84132) | $33 | $44 | 6.9× |
| Assay of urea nitrogen (84520) | $33 | $44 | 8.4× |
| Assay of urine vma (84585) | $68 | $91 | 4.4× |
| Assay of vasoactive intestinal peptide (84586) | $256 | $341 | 7.2× |
| Assay of vitamin b-1 (84425) | $110 | $146 | 5.2× |
| Assay Ph Body Fluid Nos (83986) | $25 | $33 | 7.0× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $124 | $165 | 0.7× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$21–$34 | $28–$45 | varies |
| Bartonella antibody (86611) range across 4 matching MRF lines |
$34–$39 | $45–$52 | varies |
| Bcr/abl1 gene major bp (81206) | $1,965 | $2,620 | 12.0× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$85–$100 | $113–$133 | varies |
| Beta-2 Microglobulin (82232) | $62 | $82 | 3.8× |
| Bilirubin direct (82248) | $43 | $57 | 8.6× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$35–$40 | $46–$53 | varies |
| Bilirubin; feces, qualitative Facility (82252) | $17 | $23 | 3.7× |
| Blastomyces antibody (86612) | $32 | $43 | 2.5× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$14–$122 | $18–$162 | varies |
| Bleeding time test (85002) | $2 | $3 | 0.4× |
| Blood Count Manual Cell Count Each (85032) | $18 | $24 | 4.2× |
| Blood Count Red Blood Cell Automated (85041) | $16 | $21 | 5.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $16 | $21 | 4.2× |
| Blood gas (82803) | $14 | $18 | 0.5× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $19 | $25 | 1.2× |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$2–$162 | $2–$216 | varies |
| Body fluid cell count (89050) | $19 | $25 | 4.0× |
| Bordetella antibody (86615) | $84 | $112 | 6.4× |
| Borrelia Antibody (86619) | $51 | $68 | 3.8× |
| Breath Alcohol Test (82075) range across 8 matching MRF lines |
$22–$55 | $29–$73 | varies |
| Brucella antibody (86622) | $40 | $53 | 4.5× |
| C-Peptide (84681) | $12 | $16 | 0.6× |
| C-reactive protein (86140) | $25 | $33 | 4.8× |
| Ca 19-9 (86301) | $12 | $16 | 0.6× |
| Cadmium (82300) | $47 | $62 | 2.0× |
| Calcitonin (82308) | $162 | $216 | 6.0× |
| Calcium ionized (82330) | $52 | $69 | 3.8× |
| Calcium total (82310) range across 3 matching MRF lines |
$20–$44 | $26–$59 | varies |
| Calculus assay quant (82360) | $49 | $65 | 3.8× |
| Calculus Spectroscopy (82365) | $2 | $2 | 0.2× |
| Calprotectin Fecal (83993) | $167 | $223 | 8.5× |
| Cancer Antigen 125 (86304) | $14 | $18 | 0.7× |
| Carbamazepine total (80156) | $61 | $81 | 4.2× |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $29 | $39 | 2.1× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$65–$68 | $86–$90 | varies |
| Carcinoembryonic antigen (82378) | $73 | $97 | 3.9× |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$45–$702 | $60–$936 | varies |
| Carotene (82380) | $96 | $128 | 10.4× |
| Catecholamines fractionated (82384) | $97 | $129 | 3.8× |
| Catecholamines total urine (82382) | $65 | $87 | 2.4× |
| Ccp antibody (86200) | $87 | $116 | 6.7× |
| Cell count csf (89051) range across 2 matching MRF lines |
$24–$26 | $32–$34 | varies |
| Ceruloplasmin (82390) | $41 | $55 | 3.8× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$72–$170 | $96–$226 | varies |
| Chloride Serum (82435) | $33 | $44 | 7.2× |
| Chloride urine (82436) range across 2 matching MRF lines |
$21–$30 | $28–$40 | varies |
| Cholesterol total (82465) | $33 | $44 | 7.6× |
| Chorionic gonadotropin test (84702) | $56 | $74 | 3.7× |
| Chromium serum (82495) | $96 | $128 | 4.7× |
| Chromogranin a (86316) range across 3 matching MRF lines |
$2–$123 | $2–$164 | varies |
| Chromosome Analysis 15-20 (88262) | $58 | $77 | 0.5× |
| Citric acid urine (82507) range across 2 matching MRF lines |
$106–$205 | $141–$273 | varies |
| Ckmb (82553) | $67 | $89 | 5.8× |
| Coagulation time other methods (85348) | $2 | $3 | 0.4× |
| Coccidioides antibody (86635) | $32 | $43 | 2.8× |
| Cold agglutinin titer (86157) | $35 | $46 | 4.3× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$9–$133 | $12–$177 | varies |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$12–$122 | $16–$162 | varies |
| Compatibility Each Unit Incubation (86921) | $11 | $15 | 0.1× |
| Compatibility test antiglob (86922) | $130 | $173 | 0.8× |
| Complement Antigen Each Component (86160) range across 7 matching MRF lines |
$11–$224 | $15–$299 | varies |
| Complement Total (Ch50) (86162) | $92 | $123 | 4.5× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$6–$52 | $8–$69 | varies |
| Coombs direct (86880) | $104 | $139 | 19.3× |
| Copper urine (82525) range across 2 matching MRF lines |
$2–$71 | $2–$95 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$10–$159 | $13–$212 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$69–$84 | $92–$112 | varies |
| Creatine kinase total (82550) | $50 | $67 | 7.7× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$4–$33 | $5–$44 | varies |
| Creatinine clearance (82575) | $35 | $47 | 3.7× |
| Creatinine Urine (82570) range across 8 matching MRF lines |
$4–$112 | $5–$149 | varies |
| Crossmatch immediate spin (86920) | $129 | $172 | 0.8× |
| Crp High Sensitivity (86141) range across 3 matching MRF lines |
$2–$40 | $2–$53 | varies |
| Cryoglobulin (82595) | $101 | $134 | 15.6× |
| Cryptococcus ag titer (87899) | $124 | $165 | 7.7× |
| Cryptosporidium (87272) | $66 | $88 | 5.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $4 | $5 | 0.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $49 | $65 | 6.4× |
| Culture aerobic quant other (87071) range across 2 matching MRF lines |
$5–$35 | $6–$47 | varies |
| Culture afb (87116) | $11 | $15 | 1.0× |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$35–$130 | $47–$173 | varies |
| Culture bacteria anaerobic (87073) | $35 | $47 | 3.6× |
| Culture blood (87040) | $54 | $72 | 5.2× |
| Culture chlamydia (87110) | $75 | $100 | 3.8× |
| Culture csf (87070) range across 5 matching MRF lines |
$33–$61 | $44–$81 | varies |
| Culture fungus (87102) | $33 | $44 | 3.9× |
| Culture screen only (87081) range across 3 matching MRF lines |
$35–$101 | $47–$134 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$35–$41 | $47–$54 | varies |
| Culture urine (87086) | $5 | $6 | 0.6× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $85 | $113 | 5.9× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$8–$68 | $11–$91 | varies |
| Cystatin C (82610) | $128 | $170 | 6.9× |
| Cytomegalovirus igg (86644) | $62 | $83 | 4.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $10 | $13 | 0.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $62 | $83 | 1.7× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$143–$276 | $190–$368 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$9–$197 | $12–$263 | varies |
| Dhea (82626) | $18 | $24 | 0.7× |
| Dhea-S (82627) | $15 | $20 | 0.7× |
| Digoxin (80162) | $2 | $2 | 0.2× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$15–$94 | $20–$125 | varies |
| Drug Assay Amiodarone (80151) | $136 | $181 | 7.3× |
| Drug Assay Lacosamide (80235) | $144 | $192 | 5.3× |
| Drug Screen Quant Zonisamide (80203) | $116 | $154 | 8.8× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $64 | $85 | 3.8× |
| Drug Screen Quantitative Tiagabine (80199) | $100 | $133 | 3.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 5 matching MRF lines |
$29–$245 | $38–$327 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 4 matching MRF lines |
$85–$299 | $113–$399 | varies |
| Electrolyte panel (80051) | $94 | $125 | 13.4× |
| Encephaltis East Eqne Anbdy (86652) | $35 | $47 | 2.7× |
| Encephaltis West Eqne Antbdy (86654) | $122 | $162 | 9.2× |
| Enterovirus Antibody (86658) | $122 | $162 | 9.4× |
| Eosinophil Smear (89190) | $20 | $26 | 3.5× |
| Erythropoietin (82668) | $86 | $114 | 4.6× |
| Estradiol serum (82670) | $107 | $142 | 3.8× |
| Estriol (82677) | $101 | $135 | 4.2× |
| Estrogen total (82672) | $131 | $174 | 6.0× |
| Estrogens fractionated (82671) | $122 | $163 | 3.8× |
| Ethosuximide (80168) | $52 | $69 | 3.2× |
| Exam Synovial Fluid Crystals (89060) | $65 | $86 | 8.9× |
| F2 Gene (81240) | $69 | $92 | 1.1× |
| Factor ix activity (85250) | $169 | $225 | 8.9× |
| Factor v leiden mutation (81241) | $209 | $278 | 2.8× |
| Factor viii assay (85240) | $175 | $233 | 9.8× |
| Fat/Lipids Feces Quantitative (82710) | $9 | $12 | 0.5× |
| Ferritin (82728) | $58 | $77 | 4.3× |
| Fibrin degradation products (85362) range across 3 matching MRF lines |
$9–$12 | $12–$16 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $69 | $92 | 7.1× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$33–$56 | $44–$74 | varies |
| Fluorescent antibody screen (86255) range across 8 matching MRF lines |
$46–$140 | $61–$187 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$33–$98 | $44–$130 | varies |
| Folic acid rbc (82747) | $115 | $153 | 6.5× |
| Folic Acid Serum (82746) | $61 | $81 | 4.1× |
| Follicle Stimulating Hormone (83001) | $71 | $94 | 3.8× |
| Francisella tularensis (86668) | $61 | $81 | 4.3× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$62–$506 | $83–$674 | varies |
| Gastrin (82941) | $67 | $89 | 3.8× |
| Gentamicin (80170) | $96 | $128 | 5.9× |
| Ggt (82977) | $43 | $57 | 6.0× |
| Giardia antigen (87329) | $54 | $72 | 4.5× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $13 | $17 | 2.1× |
| Glucose 2 hr pp (82950) | $19 | $25 | 4.0× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$17–$31 | $22–$41 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$32–$37 | $42–$49 | varies |
| Glucose tolerance test (gtt) (82951) | $54 | $72 | 4.2× |
| Glycated Protein (82985) | $58 | $77 | 3.5× |
| Gonadotropin Chorionic Qualitative (84703) | $5 | $6 | 0.7× |
| Growth hormone (83003) | $9 | $12 | 0.5× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$21–$25 | $28–$33 | varies |
| H Pylori (C-13) Breath (83013) | $191 | $255 | 2.8× |
| Haloperidol (80173) | $14 | $19 | 0.9× |
| Haptoglobin (83010) | $49 | $65 | 3.9× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$32–$47 | $42–$63 | varies |
| Heavy metal qualitative any analytes (83015) | $12 | $16 | 0.6× |
| Helicobacter Pylori Stool (87338) | $104 | $139 | 7.2× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$162–$176 | $216–$234 | varies |
| Hematocrit (85014) | $17 | $22 | 7.2× |
| Hemoglobin (85018) | $17 | $22 | 7.2× |
| Hemoglobin a1c (83036) | $41 | $55 | 4.2× |
| Hemoglobin Chromotography (83021) | $353 | $471 | 19.5× |
| Hemoglobin electrophoresis (83020) | $65 | $87 | 5.1× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $32 | $42 | 3.6× |
| Hep a ab igm (86709) | $48 | $64 | 4.3× |
| Heparin assay (85520) | $149 | $199 | 11.4× |
| Hepatitis a antibody total (86708) | $48 | $64 | 3.9× |
| Hepatitis b core ab igm (86705) | $45 | $60 | 3.8× |
| Hepatitis b core ab total (86704) | $48 | $64 | 4.0× |
| Hepatitis B Surface Antibody (86706) | $44 | $58 | 4.1× |
| Hepatitis B Surface Antigen (87340) | $43 | $57 | 4.2× |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$48–$62 | $64–$82 | varies |
| Hepatitis Be Antigen (87350) | $48 | $64 | 4.2× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$55–$71 | $73–$95 | varies |
| Hepatitis C Genotype (87902) | $697 | $929 | 2.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $209 | $279 | 6.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $62 | $83 | 1.4× |
| Herpes simplex type 2 (86696) | $87 | $116 | 4.5× |
| Heterophile Antibody Screen (86308) | $26 | $34 | 5.0× |
| Hfe Gene (81256) | $386 | $514 | 5.9× |
| Histoplasma antibody (86698) | $32 | $43 | 2.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$178–$308 | $237–$411 | varies |
| Hla ii typing 1 allele hr (81383) | $41 | $55 | 0.4× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $240 | $320 | 2.3× |
| Hla-b27 (86812) | $131 | $174 | 5.1× |
| Homocysteine (83090) range across 2 matching MRF lines |
$17–$91 | $23–$121 | varies |
| Hsv Dna Quant (87530) | $394 | $525 | 9.2× |
| Hydroxycorticosteroids 17 (83491) | $75 | $100 | 4.2× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$14–$104 | $19–$139 | varies |
| Hydroxyproline free (83500) | $97 | $129 | 4.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $98 | $131 | 7.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $56 | $75 | 1.6× |
| Iaad Ia Streptococcus Group A (87430) | $50 | $67 | 3.0× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $74 | $99 | 6.2× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $9 | $12 | 0.4× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$395–$689 | $527–$919 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $59 | $78 | 0.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $300 | $400 | 7.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $134 | $178 | 3.8× |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $9 | $12 | 0.3× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $94 | $125 | 1.8× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $409 | $545 | 1.6× |
| Igg subclasses (82787) | $41 | $55 | 5.1× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$21–$112 | $28–$149 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$8–$224 | $11–$299 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$65–$74 | $86–$98 | varies |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$18–$131 | $24–$175 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$17–$85 | $22–$113 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $182 | $242 | 1.1× |
| Immunohistochemistry (88342) | $86 | $114 | 0.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) | $92 | $122 | 5.8× |
| Inhibin A (86336) | $94 | $125 | 6.0× |
| Inhibin b (83520) range across 19 matching MRF lines |
$8–$209 | $10–$279 | varies |
| Insulin antibodies (86337) | $162 | $216 | 7.6× |
| Insulin total (83525) range across 3 matching MRF lines |
$44–$117 | $58–$156 | varies |
| Intrinsic factor antibody (86340) | $99 | $132 | 6.6× |
| Iron (83540) | $36 | $48 | 5.6× |
| Iron Binding Capacity (83550) | $36 | $48 | 4.1× |
| Islet cell antibody (86341) range across 15 matching MRF lines |
$17–$887 | $23–$1,182 | varies |
| Ketosteroids 17 total (83586) | $49 | $65 | 3.8× |
| Koh Prep (87220) | $35 | $47 | 8.2× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$36–$47 | $48–$62 | varies |
| Ldh Isoenzymes (83625) | $49 | $65 | 3.8× |
| LDL direct (83721) | $29 | $39 | 2.8× |
| Lead (83655) range across 3 matching MRF lines |
$46–$104 | $61–$139 | varies |
| Legionella antibody (86713) | $59 | $78 | 3.9× |
| Legionella antigen urine (87449) | $134 | $179 | 11.2× |
| Leukocyte Assessment Fecal (89055) | $25 | $33 | 5.9× |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$143–$148 | $191–$197 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $52 | $69 | 1.8× |
| Lipase (83690) | $50 | $66 | 7.3× |
| Lipoprotein A (83695) | $18 | $24 | 1.3× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $43 | $57 | 3.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $95 | $126 | 2.8× |
| Lithium (80178) | $30 | $40 | 4.5× |
| Luteinizing Hormone (Lh) (83002) | $71 | $94 | 3.8× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$66–$74 | $88–$99 | varies |
| Lysozyme serum (85549) | $101 | $134 | 5.4× |
| Macroscopic Exam Parasite (87169) | $50 | $66 | 11.6× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$26–$28 | $34–$37 | varies |
| Mass Spectrometry Quant (83789) | $89 | $118 | 3.7× |
| Mercury urine (83825) range across 3 matching MRF lines |
$50–$104 | $66–$139 | varies |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$10–$55 | $13–$73 | varies |
| Microsomal Antibodies Each (86376) range across 5 matching MRF lines |
$7–$74 | $9–$99 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $392 | $523 | 18.3× |
| Mopath procedure level 1 (81400) | $215 | $287 | 3.4× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$53–$62 | $70–$83 | varies |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$50–$57 | $67–$76 | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$52–$110 | $69–$147 | varies |
| Natriuretic peptide (83880) | $215 | $287 | 5.5× |
| Neisseria Dir Na Probe (87590) | $9 | $12 | 0.3× |
| Neutralization Test Viral (86382) | $65 | $86 | 3.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $2 | $3 | 0.0× |
| Niacin (84591) | $140 | $187 | 8.2× |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$9–$116 | $12–$155 | varies |
| Occult blood feces (82272) | $18 | $24 | 4.3× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$19–$23 | $25–$30 | varies |
| Organic Acids Qualitative Each Specimen (83919) | $134 | $178 | 8.1× |
| Organic acids urine (83918) range across 3 matching MRF lines |
$11–$347 | $14–$462 | varies |
| Osmolality serum (83930) | $49 | $65 | 7.4× |
| Osmolality Urine (83935) | $65 | $86 | 9.5× |
| Osmotic fragility rbc incubated (85557) | $50 | $66 | 3.7× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$33–$41 | $44–$55 | varies |
| Oxalate urine (83945) | $15 | $20 | 1.0× |
| Pancreatic Elastase Fecal (82656) | $29 | $39 | 2.5× |
| Particle Agglutination Screen Each Antibody (86403) range across 10 matching MRF lines |
$14–$210 | $19–$280 | varies |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$12–$182 | $16–$243 | varies |
| Ph urine (81003) | $11 | $14 | 4.9× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$34–$49 | $45–$65 | varies |
| Phenylalanine (84030) | $72 | $96 | 13.1× |
| Phenytoin (Dilantin) (80185) | $12 | $16 | 0.9× |
| Phenytoin free (80186) | $61 | $81 | 4.4× |
| Phosphatase alkaline (84075) range across 5 matching MRF lines |
$24–$85 | $32–$113 | varies |
| Phosphorus Serum (84100) | $29 | $39 | 6.1× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$42–$47 | $56–$62 | varies |
| Platelet Antibodies (86022) | $215 | $287 | 11.7× |
| Platelet count automated (85049) | $26 | $34 | 5.8× |
| Pooling blood platelets (86965) | $87 | $116 | 0.5× |
| Porphobilinogen, urine; quantitative (84110) | $62 | $83 | 7.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $114 | $152 | 7.7× |
| Potassium Urine (84133) | $30 | $40 | 6.3× |
| Prealbumin (84134) | $35 | $47 | 2.4× |
| Pregnenolone (84140) | $93 | $124 | 4.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$87–$89 | $116–$119 | varies |
| Primidone (80188) | $64 | $85 | 3.9× |
| Procalcitonin (Pct) (84145) | $258 | $344 | 9.5× |
| Progesterone (84144) | $12 | $16 | 0.6× |
| Prolactin (84146) | $74 | $99 | 3.8× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$28–$36 | $37–$48 | varies |
| Protein C Activity (85303) | $16 | $21 | 1.2× |
| Protein c antigen (85302) | $179 | $239 | 14.9× |
| Protein Electrophoresis Urine (84166) | $94 | $125 | 5.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$4–$67 | $5–$89 | varies |
| Protein S Free (85306) | $167 | $223 | 10.9× |
| Protein s total (85305) | $220 | $293 | 18.9× |
| Protein total serum (84155) range across 3 matching MRF lines |
$4–$43 | $5–$57 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$45–$73 | $60–$97 | varies |
| Protoporphyrin rbc quantitative (84202) | $93 | $124 | 6.5× |
| PSA free (84154) range across 2 matching MRF lines |
$10–$69 | $13–$92 | varies |
| Pth Intact (83970) range across 3 matching MRF lines |
$22–$162 | $29–$216 | varies |
| Q Fever Antibody (86638) | $32 | $42 | 2.6× |
| Quantiferon tb gold plus (86480) | $255 | $340 | 4.1× |
| Quantitative assay drug (80299) range across 15 matching MRF lines |
$7–$182 | $9–$243 | varies |
| Quinidine (80194) | $56 | $74 | 3.8× |
| Rbc antibody identification (86870) range across 4 matching MRF lines |
$11–$182 | $14–$243 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$8–$74 | $11–$99 | varies |
| Rbc pretreatment serum (86978) | $87 | $116 | 1.5× |
| Reagent Strip/Blood Glucose (82948) | $14 | $18 | 2.8× |
| Renin activity plasma (84244) | $83 | $111 | 3.8× |
| Resp virus 12-25 targets (87633) | $665 | $887 | 1.6× |
| Reticulocyte Count Manual (85044) | $24 | $32 | 5.6× |
| Reticulocyte separation (86972) | $131 | $174 | 0.8× |
| Rh (86901) range across 2 matching MRF lines |
$7–$68 | $9–$91 | varies |
| Rheumatoid Factor Qualitative (86430) | $29 | $39 | 4.7× |
| Rheumatoid factor quant (86431) | $22 | $29 | 3.9× |
| Rickettsia antibody (86757) | $103 | $137 | 5.3× |
| Rotavirus ag eia (87425) | $72 | $96 | 6.0× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$25–$40 | $33–$53 | varies |
| Rsv ab (86756) | $57 | $76 | 3.6× |
| Rsv Assay W/Optic (87807) | $64 | $85 | 4.9× |
| Rubella Antibody (86762) | $55 | $73 | 3.8× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$51–$62 | $68–$83 | varies |
| Russell Viper Venom Time Diluted (85613) | $49 | $65 | 5.1× |
| Salmonella antibody (86768) | $32 | $42 | 2.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $149 | $199 | 2.9× |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$10–$49 | $13–$65 | varies |
| Sedimentation Rate, Automated (85652) | $26 | $34 | 9.6× |
| Selenium (84255) | $101 | $134 | 4.0× |
| Semen analysis complete (89320) | $41 | $54 | 3.3× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $26 | $34 | 2.6× |
| Sensitivity mic (87186) | $33 | $44 | 3.8× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$8–$70 | $11–$93 | varies |
| Shigella Antibody (86771) | $133 | $177 | 5.4× |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$21–$71 | $28–$95 | varies |
| Sirolimus (80195) | $123 | $164 | 9.0× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$4–$44 | $5–$58 | varies |
| Smear acid fast (87206) range across 2 matching MRF lines |
$3–$34 | $4–$45 | varies |
| Smear gram stain (87205) | $3 | $4 | 0.7× |
| Smear Special Stain (87207) | $24 | $32 | 4.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$22–$23 | $29–$30 | varies |
| Sodium Serum (84295) | $33 | $44 | 6.9× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$32–$41 | $42–$54 | varies |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$139–$191 | $185–$254 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$128–$183 | $171–$244 | varies |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$49–$62 | $65–$82 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $69 | $92 | 6.0× |
| Sugars Single Qual (84376) | $71 | $94 | 12.9× |
| Sulfate urine (84392) | $20 | $26 | 3.6× |
| T cells absolute cd4 count (86361) | $111 | $148 | 4.1× |
| T3 Free (84481) | $128 | $170 | 7.6× |
| T3 reverse (84482) | $12 | $16 | 0.8× |
| T3 Total (84480) range across 2 matching MRF lines |
$13–$69 | $17–$92 | varies |
| T3 Uptake (84479) | $40 | $53 | 6.2× |
| T4 Free (84439) | $45 | $60 | 5.0× |
| T4 total (84436) | $43 | $57 | 6.3× |
| Tacrolimus (80197) | $143 | $191 | 10.4× |
| Test for acetone/ketones (82009) | $17 | $23 | 3.8× |
| Testosterone total (84403) range across 2 matching MRF lines |
$11–$193 | $14–$257 | varies |
| Theophylline (80198) | $73 | $97 | 5.2× |
| Thrombin Time (85670) | $47 | $62 | 8.1× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) | $146 | $195 | 4.2× |
| Thyroglobulin (84432) | $7 | $9 | 0.4× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$7–$87 | $9–$116 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $310 | $413 | 6.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $131 | $174 | 11.4× |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$11–$95 | $14–$126 | varies |
| Topiramate (80201) | $56 | $74 | 4.7× |
| Touch prep (88161) | $42 | $56 | 1.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 3 matching MRF lines |
$75–$102 | $100–$136 | varies |
| Toxoplasma ab igm (86778) | $41 | $54 | 2.8× |
| Toxoplasma antibody (86777) | $188 | $250 | 13.1× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$8–$42 | $11–$56 | varies |
| Transferrin (84466) | $5 | $7 | 0.4× |
| Trichomonas Vaginalis Amplif (87661) | $130 | $173 | 3.7× |
| Triglycerides (84478) range across 3 matching MRF lines |
$14–$55 | $19–$73 | varies |
| Troponin Quant (84484) | $89 | $118 | 7.1× |
| Trypsin feces qual (84488) | $29 | $38 | 4.0× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$40–$45 | $53–$60 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$41–$47 | $54–$62 | varies |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$15–$44 | $20–$59 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $13 | $17 | 6.0× |
| Urinalysis Volume Measure (81050) | $11 | $15 | 3.0× |
| Urine Bacteria Culture (87088) | $4 | $5 | 0.5× |
| Urine Pregnancy Test (81025) | $5 | $6 | 0.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $26 | $34 | 8.2× |
| Valproic acid (80164) | $57 | $76 | 4.2× |
| Vancomycin (80202) | $11 | $14 | 0.8× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$51–$73 | $68–$97 | varies |
| Viral Culture (87252) range across 2 matching MRF lines |
$99–$128 | $132–$171 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$32–$124 | $42–$165 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$116–$124 | $154–$165 | varies |
| Vit D 1 25-Dihydroxy (82652) | $212 | $282 | 5.5× |
| Vitamin A (84590) | $86 | $114 | 7.4× |
| Vitamin b-12 (82607) | $65 | $86 | 4.3× |
| Vitamin B2 (Riboflavin) (84252) | $138 | $184 | 6.8× |
| Vitamin B6 (84207) | $177 | $236 | 6.3× |
| Vitamin c (82180) | $74 | $98 | 7.5× |
| Vitamin D 25-Hydroxy (82306) | $119 | $158 | 4.0× |
| Vitamin E (84446) | $64 | $85 | 4.5× |
| Vitamin K (84597) | $238 | $317 | 17.3× |
| Volatiles (84600) range across 2 matching MRF lines |
$63–$87 | $84–$116 | varies |
| Wbc Alkaline Phosphatase Count (85540) range across 2 matching MRF lines |
$8–$33 | $10–$44 | varies |
| West nile virus ab igm (86788) | $13 | $17 | 0.8× |
| Western Blot Test (84181) | $125 | $167 | 7.3× |
| Zinc (84630) | $59 | $78 | 5.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.